复瘫汤联合针灸治疗脑中风偏瘫临床研究
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摘要
目的:观察复瘫汤联合针灸治疗脑中风偏瘫临床疗效。方法:将因偏瘫进行康复治疗的符合纳入标准的患者50例,随机分为对照组与实验组各25例,对照组单独采用复瘫汤进行康复治疗,实验组在中药汤药的基础上联合针灸进行康复治疗。比较2组治疗前后神经功能(NIHSS)评分、肢体运动功能(Fugl-Meyer,FMA)评分、日常生活能力量表(ADL)评分变化,以及比较总有效率。结果:2组治疗后NIHSS较前下降,FMA、ADL评分均较前上升,且实验组治疗后与对照组比较,差异有统计学意义(P <0.05)。治疗后,对照组总有效率为60%,实验组为80%,2组比较,差异有统计学意义(P <0.05)。结论:复瘫汤联合针灸在脑中风偏瘫患者的康复治疗中发挥疗效,能够改善患者神经功能和患肢运动功能,并能有效增强患者日常生活活动能力,提高患者的生活质量,给患者减少负担与痛苦。
Objective: To observe the clinical effect of Futan tang combined with acupuncture and moxibustion for hemiplegia caused by stroke. Methods:A total of 50 cases of patients receiving rehabilitation for hemiplegia,who were in accordance with the inclusion criteria,were randomly divided into the control group and the experiment group,with 25 cases in each group. The control group was treated with Futan tang alone for rehabilitation, and the experiment group was additionally treated with acupuncture and moxibustion based on the treatment of Chinese herbal decoction for rehabilitation. The changes of the scores of National Institutes of Health Stroke Scale(NIHSS),extremity motor function(Fugl-Meyer Assessment,FMA) and Activities of Daily Living(ADL) as well as and the total effective rates in the two groups before and after treatment were compared. Results:After treatment,the scores of NIHSS were decreased,FMA and ADL were increased in the two groups when compared with those before treatment, and the comparison between the experiment group after treatment and the control group showed significance in the difference(P < 0.05). After treatment,the total effective rate was 60% in the control group and 80% in the experiment group, the difference being significant(P < 0.05).Conclusion:The therapy of Futan tang combined with acupuncture and moxibustion for patients with hemiplegia caused by stroke can exert curative effect in the rehabilitation and improve the neurological function and the motor function of the affected limbs. It can effectively enhance the activities of daily living and the quality of life of the patients, which can reduce the burden and pain of the patients.
Objective: To observe the clinical effect of Futan tang combined with acupuncture and moxibustion for hemiplegia caused by stroke. Methods:A total of 50 cases of patients receiving rehabilitation for hemiplegia,who were in accordance with the inclusion criteria,were randomly divided into the control group and the experiment group,with 25 cases in each group. The control group was treated with Futan tang alone for rehabilitation, and the experiment group was additionally treated with acupuncture and moxibustion based on the treatment of Chinese herbal decoction for rehabilitation. The changes of the scores of National Institutes of Health Stroke Scale(NIHSS),extremity motor function(Fugl-Meyer Assessment,FMA) and Activities of Daily Living(ADL) as well as and the total effective rates in the two groups before and after treatment were compared. Results:After treatment,the scores of NIHSS were decreased,FMA and ADL were increased in the two groups when compared with those before treatment, and the comparison between the experiment group after treatment and the control group showed significance in the difference(P < 0.05). After treatment,the total effective rate was 60% in the control group and 80% in the experiment group, the difference being significant(P < 0.05).Conclusion:The therapy of Futan tang combined with acupuncture and moxibustion for patients with hemiplegia caused by stroke can exert curative effect in the rehabilitation and improve the neurological function and the motor function of the affected limbs. It can effectively enhance the activities of daily living and the quality of life of the patients, which can reduce the burden and pain of the patients.
引文
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[7]李鹏,骆彤,阮明军.中风病的中医五脏病因病机探讨[J].中医药临床杂志,2017,29(7):1004-1005.
[2]王同乐.偏瘫复原汤治疗中风病临床疗效观察[J].当代医学,2010,16(27):155-156.
[3]缪鸿石.康复医学理论与实践[M].上海:上海科学技术出版社,2000:1840-1841.
[4]骆路明,谢刚泰,代明星.中风中医辨证施治[J].四川中医,2003,21(1):20-21.
[5]徐亮,司亮.通络涤痰饮联合温针灸治疗中风后偏瘫的研究[J].现代中西医结合杂志,2016,25(34):3779-3781.
[6]国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准(试行)[J].北京中医药大学学报,1996,19(1):55-56.
[7]李鹏,骆彤,阮明军.中风病的中医五脏病因病机探讨[J].中医药临床杂志,2017,29(7):1004-1005.